Caitlin Rae Harrah, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

063847 Issued in NY

Practice address

150 55TH St
Brooklyn, NY 11220-2508

Phone

(718) 630-6875

NPI assigned

Apr 19, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, NY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: charrah621741@nyumc.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Century Medical & Dental Center Inc

  • Health Service Clinic/Center
  • Brooklyn, NY
  • NPI 1144399098

  NY

  Medicare reassignment NPD
• I Zak DDS Prof Dental Corp

  • Dentist
  • Downey, CA
  • NPI 1588901979

  CA, Dentist

  Medicare reassignment NPD
• I Zak DDS Prof Dental Corp

  • Dentist
  • Temecula, CA
  • NPI 1386163483
  NPD
• I Zak DDS Prof Dental Corp

  • Dentist
  • Santa Clarita, CA
  • NPI 1942940762
  NPD
• Suny Downstate Medical Center

  • Emergency Medicine Physician
  • Brooklyn, NY
  • NPI 1699704155
  NPD (past)
• I Zak DDS Prof Dental Corp

  • Dentist
  • Simi Valley, CA
  • NPI 1174263974
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1650326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1104569862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1342 WINDSOR POINT RD",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235091312",
            "telephone_number": "757-831-9467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 55TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112202508",
            "telephone_number": "718-630-6875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRAH",
        "first_name": "CAITLIN",
        "middle_name": "RAE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-19",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "109285",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401417957",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "063847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philippa Harper
• Rhonda Harper
• Teresa Harper
• Manuel Harpin, LMHC
• Gregory Harpring
• Sashay Harraway, LCSW
• Linda Harrell, C.N.M
• Pearly Genderlene Harrell, M.S.
• Harrico Knickerbocker Drug Corp
• Harrico-Galler Drug Corporation

• All providers in Brooklyn, NY
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.